Miller et al. (2017) conducted a study on the sleep functioning of at-home partners from the Readiness and Resilience in National Guard Soldiers (RINGS-2) project. The RINGS-2 project is a prospective longitudinal study of National Guard soldiers deployed to Iraq/Kuwait in 2011-2012. This is an important study because despite existing literature indicating deployments having negative effects on the health of military spouses, there has been limited research focused specifically on sleep functioning changes across the deployment cycle.
Blog posts with the tag "Staff Perspective"
Providers of behavioral treatment of sleep disorders, such as Cognitive Behavioral Therapy for Insomnia (CBT-I) or Brief Behavioral Therapy for Insomnia (BBTI), need to score sleep logs efficiently and accurately to implement strategies. Moreover, we must teach patients how to score their own logs so that they in turn can implement sleep schedule adjustments without our guidance. It’s not surprising, then, that a frequent topic that arises in consultations concerns the use of sleep logs, specifically, learning steps for how to score logs and getting experience doing so.
There is a growing body of evidence that examines and attempts to address the challenges of working with a group of individuals presenting with a combination of Borderline Personality Disorder (BPD), Suicidal/Non-Suicidal Self-directed Injury (NSSDI), and PTSD. These symptoms combine to create a cycle that is difficult to break. At a fundamental level, the individual struggles to manage their emotions effectively and can often be impulsive. Impulsive behavior is a reaction to overwhelming emotional experiences and the overwhelming emotion often elicits suicidal/NSSDI behaviors.
To facilitate a discussion about how to identify and assess for moral injury, let’s review the account below written by Ms. Tessa Poppe, who served in the Army National Guard as a Military Police Officer for seven years and was deployed to Afghanistan in 2010. It’s titled, When the Hardest Thing is Doing Nothing: Moral Injury Caused by Inaction in War and appeared in Foreign Policy on 12 June 2015. Through her narrative, Ms. Poppe paints a picture of a moral dilemma when she felt paralyzed about what to do while deployed and the inner turmoil associated with it.